CPR for Obstetric Patient

Obstetric Patients (Maternal-Newborn)

1.Apply clean gloves.
2.Place the patient in the left lateral position or supine with a wedge under her left hip.
3.Open the patient's airway and remove any loose articles in the patient's mouth. Suction secretions and insert an oral airway, if one is required.
4.Attempt to ventilate the patient.
5.Mouth-to-mouth with the use of a barrier device
6.Mouth-to-mask with the use of a pocket mask
7.Positive pressure ventilation with the use of a bag and mask
8.Assess the carotid pulse for 10 seconds. If it is absent, begin chest compressions. Perform chest compressions higher on the sternum, slightly above the center of the sternum.
9.Place the heel of the hand over the sternum area and the other hand on top of the first hand.
10.Ensure that the elbows are straight.
11.Position the shoulders directly over the hands on the patient's chest.
12.Use upper body weight to compress the chest approximately 2 inches.
13.Keep the hands in contact with the patient's chest.
14.Count aloud for 15 compressions.
15.Alternate two rescue breaths with 15 compressions. If the patient is intubated at this point, breaths and compressions may be continued in tandem.
16.Coordinate and delegate efforts when additional staff arrives. Give the code team leader a brief verbal report of events.
17.Continue CPR until relieved, until the patient regains a spontaneous pulse and respirations, until the rescuer is exhausted and unable to perform CPR effectively, or until the physician discontinues CPR. Continue CPR throughout an emergency cesarean section unless otherwise directed by the physician.
18.Assist with any ACLS resuscitation efforts as directed by the code team leader, who is experienced in ACLS.
19.Discard used supplies, remove gloves, and perform hand hygiene
20.Document the procedure in the patient's record.